02030114 CITY OF CUPERTINO
--BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
10094 IMPERIAL AVE TAYLOR WOODROW HOMES' 02030114
WNER's NAME: APPLICATION SUB DAT
f.
WOODROW HOMES 2300 CAMINO RAMON' 03/212002
'HONE: (925) 365-3100 SANITARY NO. CONTROL NO.
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P+00 ARCHITECr/ENGINEER: BUILDING PERMIT WFO
&< BLDG ELECT PLUMB MECH
Z O h Z LICENSED CONTRACTOR'S DECLARATION Job Description
e=-� hercbyaErt thalamliccnudunderprovisionsofChapmr9lcommcncing NEW TOWNHOME CONSTRUCTION
F°rt is in Senior and ofDivisiun3of the Business and Profusions Cale.and myliernse
meq- ismfmu1.11 ercen. 1456 SQ. FT. LIVIN
O�U Li<cnse Class Lia.N aa
Daw � Curacao., 469 SQ. FT. GARAGEMA�J Fn
3 Ola ARCHITECT'S DECLARATION
t g 1 understand my plans shall be used as public records
waroo Licensed Professional APR 2 2 2003
a,a OWNER-BUILDER DECLARATION
I hereby affirm Nat I am exempt from Ne Conwwmr'x License Law for the
y
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t
following reason, Section)OILS Business
€ h,sure air inynrcnnmy BUILDING_ „
Q B 1 and Processions
❑ which its issuance.
at.lo tures the ahecimprove,demolish ore a sig anyswment
3 _poor mits Issuance.also requ'vox the applicant for suchpermittut file asignedChap
tbztnb is Immo eJ pursuantmAhe ppvislons of the Comracmr's License Law(Chapwr9 ,Sq.Ft. Floor Area. +•2 `,�, ,,{nation
(commencing with Section 7Bou)of Division 3u me'curehs uW Pcofesai'"Code) Yom: '�L�l.`\]�i'l:. $1540Y'O
or moi he
h ezemps tM1ercfmm"ami me hasis for the allsgend exemption.Any violation
—of genion 1031.5 by"ye
y op dl Plitt
fora permit mbjec11 the timlicam m a civil penally- Occupancy Type
,of not momahenrvebondrwdollar:lEScw), 357���BI?IIYO t.' P Y YP
❑1,as owner urthe progeny,or my employees with wages as their sole compensation,
Burtlu loot work.andme xwemre Coal.lmemed proffered for:all(gee 7014;' . . ..101 — FOUNDAT7Itf*ired Inspections
towner ss of pro Profusions CWe:The Coes teems License Law does not apply m an
owner of phis Who buildsor.pimprove meuch improvements
who does Such work himself 102 - PIERS
or uwugh his own employers.provided that such impms_emems me not intendedryear or __ — —
-----sthef lCtiowcvcc me ll have the
p vemem r sold within nue year of —___ _ 1 O 3 — UFE R ..
--------
completion,sothe owner W Jder will have the b rdc of proving that he did not build or 10 4 - REBAR
improvef rpurgru of I )
'' _ 105 " ANCHOR BOLTS
az owner of the p pony exclusively n i g with licensed i non m —
Liceevolution the protect(S 11141 Hardness d P f s C J J Th no-aum's _ 1 ,
tp License law dues not apply to nerofp pry h boldsimprovesmercon 1O6 SEWER & WATER
.,and who contracts cor.sucIt prolacu,wMa cnmracmrfs)licensed pursuant tothe -202--- UNDERFLOOR--PLUMBING-
_ cona,an License sm. 203 - UNDERFLOOR` MECHANICAL
c _ Olam exemptunder Sec" ,B&PCfor misrtazon
`
Dille "7 •s sol. 204 - UNDERFLOOR FRAME
0
WOR ER'S MPENSATION DECLARATION 205 - UNDERFLOOR INSULATION
s- "-
•lwrebymGnn ofpwijur9uquof,memiluwingdeclarations: 301 - ROUGH PLUMBING
zi 7 .I ClI have and will muinmio a Certificate ur Consent to sdf-imare for Worker's
302 — TUB & OR SHOWER
Compensation, as pmvided for by Section 3700 of the Lebo, Cade: for the
perrmmanee Orme work.for whim this permit is Issued., , . 303 — ROUGH MECHANICAL
l ❑1 have and will maintain Worker's Compensation bolutince,as required by Scction 3 04 - ROUGH ELECTRICAL
t o 3700 ofthe Labor Code,for lite performance of the work'for which this Permla is 3 0 5 - FRAME
iss d.-MyWorkersCompensation Insurance carr er and Pulcysonther are
_,_._.._.._
Came s Eat tl t e a t.'e':Policy No _—...-........ _...,........ _:...._.. _.,_n��,—...—_.... .
ry 'CERTIFICATION.OFMEMPTIONFROM WORKERS'; ('0N.1"13.0.775.
-• a_ COMPENSATION INSURANCE•� -'s a r '
308-'--SHEETROCK :------ - ---'" - - _.
ffmiiic ion need not be completed if the permit is for one hundred dollars 309 - EXTERIOR LATH
(5100) I )
Y is dl _ ... .31.0 ._.::INTERIOR,-LATH
1 lc Ytymnt pe
ranee fm kfr hbhm p t 1
c II npmvoyvx of b t �_h; t�L_ken 311 - SCRATCH 'COAT'
Applicant�\.�...tTG"'Qr� . _ ___ _ _.313 --.ROOF .NAIL
NICE T l( `PWPLICANI`1� s - ... _
makngs Cisionst n pu Code,
should \
Z be<omcsublenmmeKorkersCompcnsIm
atonpmvrspm ccdJe,yuimin 501 - FINAL ELECTRICAL ENERGY
,OG Rrrnwithcompnywith rurnprovisions orthispe be.deotedresulted. 502 - FINAL PLUMBING ENERGY
I CONSTRUCTION IENDINCAGENCY 503 - FINAL MECHANICAL ENERGY'"
I h by Irrnr Ili t mer m,n io a on lending ug fey far the Pe h.F ranee '
�'.rt7t of the
ark for whim this ppmit . issued(See:1097:Civ C), 504 - FINAL BUILDING ENERGY � '
0 ,den's Nume..
505 -FINAL- ELECTRICAL' — --' - `
Lender's Add..- c f
- v 0 506 - GAS TEST
..I cenify that l have mad this application and slaw that the above information is 1
comon.I agree to comply withal[city and county ordinances and nate laws relating 507 - FINAL PLUMBING
the above-mentioned property
rem,,crodec representatives of anis city mercer upon
me above-mentioned roendereiy and keepumom:. SOS — FINAL MECHANICAL
.Ai (We) y erne JmnlpennJ keepharmless an vv curt, Lino against
m City
judgment,,revs roust pontes hich.may in any y cc ,ytou said 509 - FINAL GRA
U L eby' consequence arm g- tug ol'm pe t 510 NA NG s[7
"' APPLiCAV UYDERST\ trsND\VILLCDMPLY N'lllt ILL\D\POINT ' VC../
rinui,vr�' Issued I]}1 Date
Si m f pplicaMc moscm - 7 �� Re-roo�302" - ROOF PLYWOOD NAIL
HAFARDOUS MATE scLDsuae [p'y ROOF_ BATTENS
Wil l th pplie t future buil oc t p t a or handle hi'morkus material -.—Type oft1l,
aderndhYO epenm Mar 'pal Cd Chapter 9,lzand the Habhand swly 6a4 .ROOF �IN PROGRESB'�•• - T'' tl -,..,..•,. ,•,.., -.
colas ai n1553'_(1 _ / - 1,y'�tiy.l,4 . '��E
__,_All roofs shall be.inspected poor-to.any.roofing matenal.being installed.
Will me pplo nt or future binding occupant use cqup t device.which If a roof is installed without first obtainingan inspection, 1 a ree.to remove
cm
or,h b contaminants as dcfrcd by me Bay.A=e A 0 I ty Management P g
Dorm,? r a all new pmaterials for inspection. Applicant understands and will e_o_mply_With _
' an(omm Heated galea Code.Scainnv s requ requirements
and der C l un'6.95 o t, all non- oma source re HIBhODS. p
I have J-fire"'
�h h rand mncriuls m uiremems under Chapter'695 of the -
C at
if the building does not currently have a tonam,that it it my responsibility to notify the -'`''7 occupant of the requiremcnis which must he
mea prior to issuance of a Cenificam of ` a��
.r an alley. -
_ .
Signature of Applicant Date
wren or au trued agent,` Dole All r enngs to be Class "B'r or better •,
!`...:.: :...� .. !: .: .. :.... ' � :.,:., . .. . .. ... OFFICE "